Individual
MR. ROGER ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6035 MAIN ST, WILLIAMSVILLE, NY 14221-6865
(716) 632-4476
Mailing address
4430 HARRIS HILL RD, BUFFALO, NY 14221-6232
(716) 632-5032
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
05720
NY
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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